Healthcare Provider Details

I. General information

NPI: 1639151202
Provider Name (Legal Business Name): REHAB NEW ENGLAND PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 02/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 OLD DIAMOND HILL ROAD SENIOR REHAB CARE
CUMBERLAND RI
02864
US

IV. Provider business mailing address

1 FATHER DEVALLES BLVD SUITE 401
FALL RIVER MA
02723-1511
US

V. Phone/Fax

Practice location:
  • Phone: 508-673-5500
  • Fax: 508-673-6500
Mailing address:
  • Phone: 508-673-5500
  • Fax: 508-673-6500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JOAN F SIROIS
Title or Position: OPERATIONS EXECUTIVE
Credential:
Phone: 508-673-5500